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1578065991
STACEY WASHINGTON
DETROIT, MI
NPI
1578065991
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MI 4704252455)
Enumeration Date
2018-03-01
Last Update Date
2018-03-01
Business Address
STACEY WASHINGTON
20530 PREVOST ST APT C2
DETROIT, MI 48235-2166
Phone number: 248-808-9907
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Mailing Address
STACEY WASHINGTON
20530 PREVOST ST APT C2
DETROIT, MI 48235-2166
Phone number: 248-808-9907
Copy
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